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Habitual caffeine consumption moderates the antidepressant effect of dorsomedial intermittent theta-burst transcranial magnetic stimulation.

Journal of psychopharmacology (Oxford, England)
December 1, 2021
Andreas Frick et al. (3 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether habitual caffeine consumption enhances the antidepressant effects of intermittent theta-burst stimulation (iTBS) in patients with depressive episodes.

Results Summary

Habitual caffeine consumption was associated with symptom improvement following active iTBS, suggesting caffeine may augment antidepressant effects through adenosine receptor antagonism and dopaminergic pathways.

Population

40 patients with current depressive episodes

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
habitual caffeine consumption
increase
symptom improvement
patients with current depressive episodes
-
was associated with symptom improvement
#1
habitual caffeine consumption
increase
antidepressant effect
patients with current depressive episodes
-
moderated the antidepressant effect
#2
caffeine
increase
antidepressant pharmacological treatments
animals
-
improving antidepressant pharmacological treatments
#3
caffeine
increase
antidepressant effects
-
-
may enhance antidepressant effects
#4
Abstract

BACKGROUND: Potentiating current antidepressant treatment is much needed. Based on animal studies, caffeine may augment the effects of currently available antidepressants. OBJECTIVE: Here, we tested whether habitual caffeine consumption moderates the antidepressant effects of repetitive transcranial magnetic stimulation (rTMS) using intermittent theta-burst stimulation (iTBS). METHODS: Forty patients with current depressive episodes were randomized to active iTBS ( RESULTS: Habitual caffeine consumption was associated with symptom improvement following active iTBS ( CONCLUSION: Habitual caffeine consumption moderated the antidepressant effect of dorsomedial iTBS, consistent with caffeine improving antidepressant pharmacological treatments in animals. Caffeine is an antagonist of adenosine receptors and may enhance antidepressant effects through downstream dopaminergic targets.

Medical Subject Headings (MeSH)
AdolescentAdultCaffeineCoffeeCombined Modality TherapyDepressive DisorderDouble-Blind MethodDrinking BehaviorEnergy DrinksFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePrefrontal CortexPurinergic P1 Receptor AntagonistsTranscranial Magnetic StimulationYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year1.5
Relative Citation Ratio0.48
NIH Percentile25.9%
Research Impact Scores
APT Score0.25
Weight Score2.38
Normalized Score0.66
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